Boulet Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BOULET MEDICAL CLINIC

Practice address

8676 Highway 182
Opelousas, LA 70570-5602

Phone

(337) 942-6324

Fax

(337) 942-8573

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Loyd Honore Boulet Jr., GP

Title

Owner

Phone

(337) 942-6324

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1205921442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8676 HIGHWAY 182",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705602",
            "telephone_number": "337-942-6324",
            "fax_number": "337-942-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8676 HIGHWAY 182",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705602",
            "telephone_number": "337-942-6324",
            "fax_number": "337-942-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULET MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BOULET",
        "authorized_official_first_name": "LOYD",
        "authorized_official_middle_name": "HONORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-942-6324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "GP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090085",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "4366078090",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua L Boagni
• Kristy Boagni, FNP
• Nicholas Scott Boies, NP
• Amy Bordelon, D.D.S.
• Joseph Yves Bordelon Jr., M.D.
• Jeanette M Bourgeois, CRNA
• Nancy Fox Bourque, LCSW
• Maranda C Boutte
• Ladondra Kiante Bowles, MS
• Brad Sibille LLC

• General Practice Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.